MEDICARE: JAMES STEPHEN GUNN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	MD35938	AL

General Provider Information

NPI Number	:	1235340779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES STEPHEN GUNN M.D.

Provider Business Mailing Address
First Line	:	140 VILLAGE ST STE 100
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-6436
Country	:	US
Telephone Number	:	205-980-1744
Fax Number	:	205-980-1334

Provider Business Practice Location Address
First Line	:	140 VILLAGE ST STE 100
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-6436
Country	:	US
Telephone Number	:	205-980-1744
Fax Number	:	205-980-1334

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	05/20/2021

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